20030056 Ver 2_Certified Return Receipt_20070607

^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ Print your name and address on the reverse
so that we can return the card to you.
^ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Keedy cork t/ast LLI: L/U
Starmount Co. Attn: Ronald Wilson
600 Green Valley Rd Ste.300
Greensboro,NC 27408-7722
DWQ3 03-0056-v2-Guliford
2. Article Number
(Transfer from service labe
PS Form 3811, February 2004
a
X
B. Fjeceived.by (Printed Name)
^ Agent
. -. .~
D. Is delivery address different fro item 17 Y ;
Ii YES, enter delivery addre~ below: ^ No
3. rvice Type
Certified Mail ^ Express Mail
Registered Return Receipt for Merchandise
^ Insured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ^ Yes
707 0710 0~~2 1579 187,8
Domestic Return Receipt
102595-02-M-1540

UNITED STAT~~ F~CSS~A1 SEr~VICt~
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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